Genetics of Appendix Cancer Study

NCT05734430 — Recruiting, 700 participants, Andreana Holowatyj, PhD, MSCI

ClinicalTrials Daily  ·  Areas  ·  Conditions  ·  Drugs  ·  Sponsors  ·  

Genetics of Appendix Cancer: The GAP Study

RegistryNCT05734430, acronym GAP
StatusRecruiting
Study typeObservational
Enrollment700 (Estimated)
SponsorAndreana Holowatyj, PhD, MSCI (Other)
ConditionsAppendix Cancer, Appendiceal Cancer, Appendiceal Neoplasms, Appendiceal Mucinous Neoplasm, Appendiceal Adenocarcinoma, Appendiceal Carcinoid Tumor, Appendiceal Neoplasm Malignant Secondary, Appendix Adenocarcinoma, Appendix Mucinous Neoplasm, Appendix Tumor, Appendix Cancer Metastatic, Appendix NET, Low-Grade Appendix Mucinous Neoplasm, High Grade Appendix Mucinous Neoplasm, High Grade Appendix Mucinous Adenocarcinoma
InterventionsGenetic profiling, Retrospective tissue procurement (Genetic, other)
Datesstart 2022-11-11, primary completion 2032-11-01 (estimated), completion 2034-11-01 (estimated), first posted 2023-02-21, last updated 2025-04-18
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Appendix Cancer All trials for Appendiceal Cancer All trials of Genetic profiling All trials of Retrospective tissue procurement

-Summary

The GAP Study is a prospective cohort study designed to comprehensively investigate genetic variations that may contribute to cancer development among individuals diagnosed with appendix/appendiceal cancer who are ages 18+ years.

Expand all sections  ·  Collapse all

+Detailed description

The Genetics of Appendix Cancer (GAP) Study aims to analyze hereditary factors, tumor characteristics and clinical features/outcomes among adults diagnosed with appendix cancer and their biological parents. Patients are recruited at any time after a diagnosis of appendix cancer and followed for up to 6 years after study enrollment. This cohort is enriched by robust biospecimens and data collections.

+Arms and interventions

ArmTypeInterventionsDescription
GAP SocialGenetic: Genetic profiling; Other: Retrospective tissue procurementIndividuals ages 18+ years with an appendix cancer diagnosis in the United States.
GAP VanderbiltGenetic: Genetic profiling; Other: Retrospective tissue procurementIndividuals ages 18+ years with an appendix cancer diagnosis seen at Vanderbilt.
GAP ParentGenetic: Genetic profilingBiological parents of active GAP (Social and Vanderbilt) Study participants.
  • Genetic profiling (Genetic): Whole exome sequencing
  • Retrospective tissue procurement (Other): Collection of archived fixed-formalin, paraffin-embedded (FFPE) primary appendix tumor tissues that were previously removed

+Outcome measures

Primary outcomes

  • Prevalence and spectrum of pathogenic and likely pathogenic germline variants in appendix cancer patients and their biological parents [Within 6 years of study enrollment]

Secondary outcomes

  • Association of germline genetic variants with clinical, pathologic and molecular features of appendix tumors [Within 6 years of study enrollment]

+Eligibility

Sex: All, ages: 18 Years to any, accepts healthy volunteers

Inclusion Criteria:

GAP Social

* Known diagnosis of appendix cancer in the United States
* Mentally and physically able to consent and participate in the study

GAP Vanderbilt

* Known diagnosis of appendix cancer
* Diagnosed by and/or consulting with a physician/clinical provider participating in the GAP Study
* Mentally and physically able to consent and participate in the study

GAP Parent

* Biological parents (mother and/or father) of individuals actively participating in the GAP Study
* Residing in the United States
* Mentally and physically able to consent and participate in the study

Exclusion Criteria:

* Women pregnant at the time of consent
* Prisoners
* Unable to provide informed consent
* Unable to read, write, or complete questionnaires in English

+Locations (1)

FacilityCityCountryStatus
Vanderbilt-Ingram Cancer CenterNashville, TennesseeUnited StatesRecruiting

+Publications

  • Holowatyj AN, Washington MK, Tavtigian SV, Eng C, Horton C. Inherited Cancer Susceptibility Gene Sequence Variations Among Patients With Appendix Cancer. JAMA Oncol. 2022 Nov 11;9(1):95-101. doi: 10.1001/jamaoncol.2022.5425. Online ahead of print. PMID 36368039
  • Holowatyj AN, Overman MJ, Votanopoulos KI, Lowy AM, Wagner P, Washington MK, Eng C, Foo WC, Goldberg RM, Hosseini M, Idrees K, Johnson DB, Shergill A, Ward E, Zachos NC, Shelton D; Appendix Cancer Pseudomyxoma Peritonei (ACPMP) Research Foundation. Defining a 'cells to society' research framework for appendiceal tumours. Nat Rev Cancer. 2025 Apr;25(4):293-315. doi: 10.1038/s41568-024-00788-2. Epub 2025 Feb 20. PMID 39979656
  • Janczewski LM, Browner AE, Cotler JH, Nelson H, Kakar S, Carr NJ, Hanna NN, Holowatyj AN, Goldberg RM, Washington MK, Asare EA, Overman MJ; American Joint Committee on Cancer Expert Panel on Cancers for the Lower Gastrointestinal Appendix Disease Site. Survival outcomes used to validate version 9 of the American Joint Committee on Cancer staging system for appendiceal cancer. CA Cancer J Clin. 2023 Nov-Dec;73(6):590-596. doi: 10.3322/caac.21806. Epub 2023 Jun 26. PMID 37358310

+Investigators